| NPI | 1952675993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD P MCGROREY Managing Member 702-227-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |